Bradley Alvin Paulson in Clear Lake - Chiropractor
Bradley Alvin Paulson - NPI 1083722920
Bradley Alvin Paulson is a Chiropractor in Clear Lake, Wisconsin. Bradley Alvin Paulson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradley Alvin Paulson is 1083722920. The last update date is 2012-08-20.
Bradley Alvin Paulson's current location address is Po Box 96, Clear Lake, Wisconsin. You can contact this provider via phone number 7152632313 and fax number 7152633284. The mailing address for Bradley Alvin Paulson is Po Box 96, Clear Lake, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Alvin Paulson |
|---|---|
| Address | Po Box 96, Clear Lake, Wisconsin |
| Phone Number | 7152632313 |
| Fax Number | 7152633284 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1083722920 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2012-08-20 |
Provider Mailing Address Detail
| Address | Po Box 96 |
|---|---|
| City | Clear Lake |
| State | Wisconsin (WI) |
| Post Code | 54005 |
| Phone Number | 7152632313 |
| Fax Number | 7152633284 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2020 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38789400 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bradley Alvin Paulson?
The Bradley Alvin Paulson has been issued the NPI (National Provider Identifier) 1083722920 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Bradley Alvin Paulson is geographically located?
The Bradley Alvin Paulson is physically situated at the following location: Po Box 96, Clear Lake, WI, 54005.
What is Bradley Alvin Paulson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley Alvin Paulson's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083722920 to Bradley Alvin Paulson?
The Centers for Medicare & Medicaid Services assigned the 1083722920 to Bradley Alvin Paulson on 2006-08-29.
When was the information pertaining to Bradley Alvin Paulson most recently updated or revised?
The details related to Bradley Alvin Paulson, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-20.
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